Title: Zampelas A, Panagiotakos DB, Pitsavos C, Chrysohoou C, Stefanadis C. Associations between coffee consumption and inflammatory markers in healthy persons: the ATTICA study. Am J Clin Nutr. 2004;80:862-7. De Bacquer D, Clays E, Delanghe J, De Backer G.
1Zampelas A, Panagiotakos DB, Pitsavos C,
Chrysohoou C, Stefanadis C. Associations between
coffee consumption and inflammatory markers in
healthy persons the ATTICA study.Am J Clin
Nutr. 200480862-7.De Bacquer D, Clays E,
Delanghe J, De Backer G. Epidemiological evidence
for an association between habitual tea
consumption and markers of chronic inflammation.
Atherosclerosis. 2006189428-35.
2Background
- Inflammation is important to the development of
cardiovascular disease (CVD). The effect of
coffee consumption on the cardiovascular system
is conflicting. - Tea consumption has been inversely related to the
risk of CVD. In vitro and animal model studies
suggest an anti-oxidative and/or
anti-inflammatory role of tea.
3Background - Acute phase response
Mononuclear cell
Site of injury
NO
IL-1
IL-1
TNF?
TNF?
Tissue oedema
Stromal cell
TNF?
Pain
Redness
IL-1
Inappetite Depression
IFN?
IL-6
Local response
Liver
Fever
Acute phase proteins (APPs) production
Haematological changes
? Cortisol
Systemic inflammatory response
4Coffee drinking
- Design 1514 men and 1528 women. No history of
CVD. Blood consentrations of APPs. - Results Coffee drinkers (gt200 ml/d) vs. nondrin.
- C-reactive protein (CRP) higher (plt0.05)
- serum amyloid-A (SAA) higher (plt0.05)
- The findings were significant after control of
age, sex, smoking, body mass index, physical
activity status, and other covariates - Conclusions A relation exists between
moderate-to-high coffee consumption and increased
inflammation process. This relation could
explain, the effect of increased coffee intake on
the CVD
5Tea drinking
- Design 1031 healthy men in a larger
cross-sectional study. Blood APPs concentrations. - Results Tea drinkers were less obese, smoked
less and drank less alcohol and coffee. - CRP, SAA and haptoglobin were significantly
negatively associated with tea consumption. - Multivariate analysis did confirm the
independence of the observed beneficial role of
tea drinking. - Coffee drinking unrelated to inflammation.
- Conclusion Tea drinking might be of interest in
reducing the inflammatory process underlying
cardiovascular disease.
6Casual diagram
APP Conc.
Coffee
CVD risk
CVD risk factors confounders e.g. BMI, sex,
smoking etc.
Inflammatory stimulus
-
CVD risk
APP Conc.
Tea
7Bovine respiratory disease complex - BRD
- BRD is a multifactorial disease complex, caused
by a variety of etiological agents which acts
synergistically (viruses, bacteria, mycoplasmas). - Environmental and husbandry factors as
- well as impaired resistance of calves to
- infections are involved as predisposing factors
8APPs in cattle
Serum amyloid A (SAA)
Haptoglobin
AGP
Albumin
9Material and methods
- Serum samples (40 rearing units, 10 calves from
unit 400 calves) SAA conc., viral antibodis. - 1. sampling (acute BRD)
- 2. sampling (after 3-4 week, more chronic BRD)
- Clinical inves., tracheobronchial lavage, weight
gain between samplings - Linear mixed models (unit and sampling time as
random factors), SAA log. transformation, age and
clinical status of calves controlled in models
10SAA association to weight gain (2. sampling)
factor n coef. p-value
weight-gain (kg) 384 -0.404 0.017
Mean weight gain between to samplings 0.806 (/-
0.336) kg
11Farm factors effect to SAA concentrations during
BRD(1. sampling)
factor n (unit) coef. p-value
draw 0.0 m/s 25
0.1-0.9 m/s 12 0.297 0.019
gt0.9 m/s 3 0.476 0.023
BAV pos. 20 0.371 0.002
BCV pos. 19 0.219 0.052
automatic feeding 16 0.196 0.092
separating sick calves 6 -0.552 0.000
use of floor covers 2 -0.632 0.017
12Farm factors effect to SAA concentrations during
BRD(2. sampling)
factor n (unit) n (unit) coef. p-value
automatic feeding automatic feeding 16 0.446 0.012
PIV-3 pos. PIV-3 pos. 21 0.334 0.054
BRSV PCR pos. BRSV PCR pos. 1 0.511 0.042
13Farm factors effect to SAA concentrations during
BRD(both samplings)
factor n (unit) n (unit) coef. p-value
automatic feeding automatic feeding 16 0.296 0.009
separating sick calves separating sick calves 6 -0.429 0.006
BAV pos. BAV pos. 20 0.215 0.059
PIV-3 pos. PIV-3 pos. 21 0.219 0.048
14Casual diagram
Confounders e.g. Age of calves, clinical
disease, season etc.
Effect of BRD to production
Respiratory infections
SAA Conc.
Farm factors